Organization Active NPI

Mind Care Professional Limited Liability Company

  • Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1386437465
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MIND CARE PROFESSIONAL LIMITED LIABILITY COMPANY
Practice address
12751 Marblestone Dr Ste 230-1
Woodbridge, VA 22192-8335
Phone
(571) 402-4251
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rajni SharmaNPI 1376011346
Title
Owner
Phone
(469) 630-7964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

12751 Marblestone Dr Ste 230-1
Woodbridge, VA 22192-8335

Mailing address

12751 Marblestone Dr Ste 230-1
Woodbridge, VA 22192-8335
Phone (571) 402-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250721001018 VA Part B Supplier - Clinic/Group Practice 6103332804 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

12751 Marblestone Dr
Ste 2301
Woodbridge, VA 22192
Phone (571) 402-4251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1386437465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 MARBLESTONE DR STE 230-1",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928335",
            "telephone_number": "571-402-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 MARBLESTONE DR STE 230-1",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928335",
            "telephone_number": "571-402-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CARE PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAJNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-630-7964"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.